To comply with clinical agency agreements, nursing administrators and faculty need to be attentive to the management of immunization requests, especially those that are divergent from CDC or state recommendations. As nursing students usually bear the cost of additional immunizations and testing, immunization requirements may represent a barrier in using all available clinical sites. Medical insurers will often reject payment for immunization tests or vaccines that are identified as unnecessary or inconsistent with state or national recommendations. The creation of a consistent immunization process that addresses all guidelines is recommended.
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